ALTAIR INTEGRATIVE WELLNESS NPI 1932744836

NPI Information

  • NPI: 1932744836
  • Provider Name: ALTAIR INTEGRATIVE WELLNESS
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Organization
  • CLIA Number: 02D2214567
  • Address: 892 E USA CIR STE 108
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 357-1818

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NPI Details

ALTAIR INTEGRATIVE WELLNESS is a sports physician chiropractor in Wasilla, AK. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. ALTAIR INTEGRATIVE WELLNESS NPI is 1932744836. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

892 E USA CIR STE 108
WASILLA, AK
ZIP 99654-106
Phone: (907) 357-1818
Fax: (907) 357-1814

The provider's authorized official is Tara E Workman Dc .
The authorized official title is Ceo and has the following contact phone number (907) 357-1818.

The CLIA number assigned to this NPI record is 02D2214567 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports PhysicianYes
22081S0010XPhysical Medicine & RehabilitationSports MedicineNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11702799MEDICAIDALASKA
21636141MEDICAIDALASKA
31633093MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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